The Effect of Directional Specific Thoracic Spine Mobilization on Cervical Spine Pain
| Status: | Completed |
|---|---|
| Conditions: | Orthopedic, Pain |
| Therapuetic Areas: | Musculoskeletal, Orthopedics / Podiatry |
| Healthy: | No |
| Age Range: | 18 - 60 |
| Updated: | 4/21/2016 |
| Start Date: | August 2013 |
| End Date: | January 2015 |
The Effect of Directional Specific Thoracic Spine Mobilization on Cervial Spine Pain.
Hypothesis: There is no difference in directional specific manipulation of the thoracic
spine for patients with neck pain.
Patients seeking physical therapy for neck pain routinely have their thoracic spine
manipulated. This study seeks to determine if directional limitations in the spine can be
specifically determined and treated to decrease neck pain.
spine for patients with neck pain.
Patients seeking physical therapy for neck pain routinely have their thoracic spine
manipulated. This study seeks to determine if directional limitations in the spine can be
specifically determined and treated to decrease neck pain.
Manipulation of the thoracic spine is the most commonly used manual therapy intervention by
manual therapists. It is not known whether we can accurately assess and treat directional
limitations in the thoracic spine to improve neck pain.
One way is to assess where the limitation is and treat it. Another method is to distract the
joint. We want to know if matching the limitation to the manipulation method will give
patients with neck pain better results.
The patient lays on their back. The therapist places a hand on the inferior vertebrae of the
motion segment. The patient relaxes and the therapist pushes in an anterior to posterior
direction either moving the vertebrae into flexion or entension.
manual therapists. It is not known whether we can accurately assess and treat directional
limitations in the thoracic spine to improve neck pain.
One way is to assess where the limitation is and treat it. Another method is to distract the
joint. We want to know if matching the limitation to the manipulation method will give
patients with neck pain better results.
The patient lays on their back. The therapist places a hand on the inferior vertebrae of the
motion segment. The patient relaxes and the therapist pushes in an anterior to posterior
direction either moving the vertebrae into flexion or entension.
Inclusion Criteria:
- Patients with Neck Pain; ages 18 - 60
Exclusion Criteria:
- red flags: leg weakness, night pain, history of cancer, upper motor neuron signs,
infection, tumors, osteoporosis, fracture (Boissonnault, 2011) (Cleland, 2004)
history of whiplash within 6 weeks, cervical stenosis, CNS involvement, signs
consistent with nerve root compression, previous surgery, pending legal action
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